Provider Demographics
NPI:1700064045
Name:NATURE COAST UROLOGY LLC
Entity Type:Organization
Organization Name:NATURE COAST UROLOGY LLC
Other - Org Name:HARVEY SCHONWALD, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHONWALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-666-4766
Mailing Address - Street 1:10441 QUALITY DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9656
Mailing Address - Country:US
Mailing Address - Phone:352-666-4766
Mailing Address - Fax:352-666-4366
Practice Address - Street 1:10441 QUALITY DR
Practice Address - Street 2:SUITE 205
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9656
Practice Address - Country:US
Practice Address - Phone:352-666-4766
Practice Address - Fax:352-666-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD77982208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1154306223OtherNPI